A. Fleur van Raamt1, Willem P.Th.M. Mali2, Peter Jan van Laar2, Yolanda van der Graaf1
1Julius Center for Health Sciences and Primary Care and
2Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
Tóm tắt
In a fetal-type posterior circle of Willis (FTP) there is an embryonic derivation of the posterior cerebral artery (PCA) from the internal carotid artery (ICA). Besides the fact that a larger area is thus dependent on the ICA, leptomeningeal vessels cannot develop between the anterior and posterior circulation. The tentorium namely prevents cerebellar vessels from connecting to the PCA territory. Therefore patients with an FTP could be more prone to develop vascular insufficiency. An overview of the literature is given. We propose to define a partial FTP, in which a small P1 segment between the basilar artery and the postcommunicating part of the PCA is present, and a full FTP, in which the P1 segment is absent. Whether a full FTP is a risk factor for stroke should be subject of further investigation.
